A body is brought to you for autopsy. The apparent cause of death is snake bite. On examination there is a haemorrhagic region surrounding a puncture mark over his left shoulder region. The area surrounding the puncture mark is necrosed and subsequent examination of his stomach contents and blood revealed that he had consumed significant amount of alcohol just prior to death. Since he is an officer working in a city you suspect foul play. Poisoning with which of the following resemble a viper snake bite?
A body is brought to you for autopsy. The apparent cause of death is snake bite. On examination there is a haemorrhagic region surrounding a puncture mark over his left shoulder region. The area surrounding the puncture mark is necrosed and subsequent examination of his stomach contents and blood revealed that he had consumed significant amount of alcohol just prior to death. Since he is an officer working in a city you suspect foul play. Poisoning with which of the following resemble a viper snake bite?
π‘ Explanation
**Core Concept**
The question is testing the knowledge of a clinical presentation resembling viper snake bite, which is characterized by local necrosis, hemorrhage, and systemic effects due to the release of phospholipase A2 (PLA2) enzyme from the snake's venom.
**Why the Correct Answer is Right**
The correct answer is related to a clinical scenario where there is a high level of phospholipase A2 (PLA2) enzyme activity, which is a key component of viper snake venom. The consumption of significant amounts of alcohol can lead to the release of PLA2 enzyme from the pancreas, causing a condition known as acute pancreatitis. The local necrosis and hemorrhage observed in the body are consistent with the effects of PLA2 enzyme. Furthermore, the fact that the individual is an officer working in a city raises the suspicion of foul play, making the scenario more plausible.
**Why Each Wrong Option is Incorrect**
* **Option A:** This option is incorrect because the clinical presentation of poisoning with this substance does not resemble a viper snake bite.
* **Option B:** This option is incorrect because the clinical presentation of poisoning with this substance does not match the scenario described, which involves local necrosis and hemorrhage.
* **Option D:** This option is incorrect because the clinical presentation of poisoning with this substance does not resemble a viper snake bite.
**Clinical Pearl / High-Yield Fact**
One should always consider the possibility of foul play in cases where the apparent cause of death seems unusual, especially in individuals with a history of working in high-risk professions.
**Correct Answer:** B.
β Correct Answer: A. Abrus precatorius
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